FEC Form 1 for ING America Life Corporation Political Action Committee (ING US PAC)Form 1 for ING America Life Corporation Political Action Committee (ING US PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-14224

1. ING America Life Corporation Political Action Committee (ING US PAC)

5780 Powers Ferry Road NW
Atlanta, GA 303271390
Email: John.Schellack@ING-USAtlanta.com

2. Date: 05/11/2001

3. FEC Committee ID #: C00184028 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

ING America Life Corporation
5780 Powers Ferry Road NW
Atlanta, Georgia 303271390
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

John Schellack
5780 Powers Ferry Road
Atlanta, GA 303271390
Title: Treasurer

Treasurer:

John Schellack
5780 Powers Ferry Road
Atlanta, Georgia 303271390
Title: Treasurer

Designated Agent(s):

Amelia J. Vailloncourt
5780 Powers Ferry Road
Atlanta, Georgia 303271390
Title: Assistant Treasurer

Banks or Depositories

SunTrust Bank
P.O. Box 4418
Atlanta, Georgia 30302

Signed: John Schellack
Date Signed: 05/11/2001
Official Committee URL: N/A

(End FEC FORM 1)

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